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Retrovirus Life Cycles01:10

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Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
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Searching for a HIV-1 Cure.

Chen Zhang1, Bharat N Chaudhary1, Mohammad Uzair Ali1

  • 1Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center, Omaha, NE, USA 68198-5880.

Theranostics
|December 22, 2025
PubMed
Summary
This summary is machine-generated.

Researchers are exploring novel therapies like gene editing to cure HIV-1. Current methods face challenges in durability and accessibility, but gene editing shows promise for disrupting viral DNA and achieving a functional cure.

Keywords:
CCR5CD4CRISPRCRISPR-Cas9CXCR4Combination antiretroviral therapyGene DeliveryHIV-1 replicationHIV-1 suppressionViral resistance

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Area of Science:

  • Virology
  • Immunology
  • Gene Therapy

Background:

  • Significant advancements in HIV-1 cure strategies include stem cell transplantation, broadly neutralizing antibodies, ultra-long-acting antiretrovirals, therapeutic vaccines, and cell/gene therapies.
  • Despite progress, current approaches lack durability and face challenges in accessibility, delivery, off-target effects, and practicality for widespread clinical use.

Purpose of the Study:

  • To review current and emerging strategies for achieving a durable cure for human immunodeficiency virus type 1 (HIV-1).
  • To examine the scientific, clinical, and ethical considerations of various therapeutic modalities, with a focus on gene-editing technologies.

Main Methods:

  • Review of existing literature on HIV-1 cure strategies, including combinatorial therapies.
  • Focus on gene-editing technologies, direct viral excision, and co-receptor editing for targeting latent reservoirs and host viral receptors.

Main Results:

  • Current therapeutic approaches, including combinations of antiretrovirals, antibodies, and latency-reversing agents, aim for durable viral suppression but not complete eradication.
  • Gene-editing technologies demonstrate potential in disrupting proviral DNA and enabling targeted therapies against latent HIV-1 reservoirs.

Conclusions:

  • Achieving a durable HIV-1 cure remains challenging due to issues of durability, accessibility, and practicality.
  • Gene editing, particularly direct viral excision and co-receptor editing, presents a promising strategy for a functional HIV-1 cure by targeting latent reservoirs and host factors.